Mr Darin Lewis Dantzler, in Memphis, TN - Medicare Counselor Provider

Mr Darin Lewis Dantzler, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Memphis, Tennessee. His current practice location is 3155 Hickory Hill Rd, 102 C, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 282-9738.

Mr Darin Lewis Dantzler is licensed to practice in Tennessee (license number LDC0000001036) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215375316.

Contact Information

	Mr Darin Lewis Dantzler,
	3155 Hickory Hill Rd, 102 C, Memphis, TN 38115-2555
	(901) 282-9738
	(901) 310-4212

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Darin Lewis Dantzler
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	3155 Hickory Hill Rd, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215375316
Provider Enumeration Date: 06/11/2013
Last Update Date: 06/11/2013

Medicare PECOS Information:

PECOS PAC ID: 6103361282
Enrollment ID: I20240712002359

Medical Identifiers

Medical identifiers for Mr Darin Lewis Dantzler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215375316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LDC0000001036 (Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Darin Lewis Dantzler allows following entities to bill medicare on his behalf.

Entity Name	Customized Medical Needs
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124361688 PECOS PAC ID: 8921249517 Enrollment ID: O20130724000352

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Darin Lewis Dantzler is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Darin Lewis Dantzler, 3155 Hickory Hill Rd, 102 C, Memphis, TN 38115-2555 Ph: (901) 282-9738	Mr Darin Lewis Dantzler, 3155 Hickory Hill Rd, 102 C, Memphis, TN 38115-2555 Ph: (901) 282-9738

Reviews and Comments

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Mr Darin Lewis Dantzler, - Medicare Counselor in Memphis, TN